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rezult changes during 2months

Dec 5, 2004

hi i have been hiv+ for 2 years.two months ago my lab rezult was as bellow: wbc=4300(4000-10000) platelets=95000 Differential: neutrophils=55percent lymphocytes=32percent monocytes=9 eosinophyl=4 my recent lab rezults are: wbc=4500(4000-1000) platelets=105000 differential: neutrophils=72percent lymphocyte=25percent monocyte=2percent eosinophil=1percent my doctor told me that it is not a good thing to me. How do you see it?Good or bad? If possible please answer ,since we dont access to good doctors in our country-Iran. thanks.

Response from Dr. Holodniy

All your numbers are remarkably consistent except for the lymphocyte percentage. That might be what he is reacting to. Your total lympochte percentage dropped from 32 to 25% (absolute number 1376 to 1125). Some people have used this as a crude estimate of the CD4 count, which is the primary t cell or lymphocyte that is infected with HIV. The total lymphocyte count is not that good of an estimate of CD4 counts. If that blood test (CD4) were available to you, that would be the important test to get. The CD4 count would establish where you are on the HIV disease spectrum, and whether you were at any risk for early disease progression.

HIV and shingles..
Absolute Lymphocyte Count confusion

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